Late Adulthood

Biosocial

Cognitive

Psychosocial

Death and Dying

Ageism

Self perception is crucial

Insomnia

Elderspeak

Destructive Protection

Demographic Shift

Young-old

Mid-old

Old-old

Selective Optimization with Compensation

Sex

"Grounded Theory"

Older adults experience many changes in sex life

Many find other ways to share love

Driving

Elderly drivers have fewer accidents than 20-year-olds

Few older drivers notice the impact of their losses

Older people change driving habits to compensate for losses in abilities

Every sense becomes slower and less sharp with each passing decade

Vision can be affceted by cataracts,. glaucoma, and macular degeneration

High frequencies are lost more quickly than low frequencies when hearing changes

Universal Design

Primary aging

Secondary aging

Health and treatments are influenced by age

Compression of morbidity

Osteoporosis

Theories of aging

Wear and tear theory

Calorie restriiction increases life-span of many organisms

Genetic Clock

Cellular aging

Hayflick Limit

Telomeres

Centarians

Aging Brain

Neurocognitive Disorders

New Cognitive Development

Slower thinking

Shrinkage of brain

Gray matter decreases

Transmission of impulses is disrupted

High SES correlates with less cognitive decline

Multitasking becomes less common

Switch-cost

Source-amnesia

Input and Output are affected by aging

Ecological Validity

Major neurocognitive disorder (major NCD)

Alzheimer’s disease (AD)

Plaques

Tangles

Vascular Disease "multi infarct dementia"

Frontotemporal NCDs

Parkinson’s disease

"Lewy body disease"

Reversible Neurocognitive Disorder

Depression

Malnutrition

Polypharmacy

Self-Acutalization

Learning is still possible

Older adults can pick up new, creative hobbies such as art, music, etc.

When motivated, adults can learn

Life review

Wisdom does not always come with age

Theories

Activities

Self theories

Stratification Theories

Integrity verus Despair

Socioemotional Selectivity Theory

Compulive hoarding

Positivity effect

Gender stratification

Ethnic stratification

Income stratification

Age stratification

Disengagement Theory

Activity Theory

Working

Paid work

Retirement

Volunteer work

Age in place

NAturall occuring retirement community

Older adults attend fewer religious services than do the middle-aged, but faith and praying increase

Most elders are very political

Filial Responsibility

Friends and family are important

Remote grandparents, companionate grandparents, involved grandparents, surrogate parents

Frail Elderly

Terminal Decline

Difficulty in ADLs and IADLs

Sarcopenia

Caring for frail elderly

Integrated care

Elder abuse

Long term care

Alternative Care

Death and Hope

Choices in Dying

Affirmation of Life

Cultural and religious differences

Terror management theory

Understanding of death is influenced by age and cognitive development

Legacy work

Near-death experience

A good death

Modern medicine makes a good death more likely

Honest conversation

Maslow's "Self-transcendence"

Hospice

Palliative care

Double effect (ex:morphine)

Ethics

Passive euthanasia

DNR order

Active Euthanasia

Physician assisted suicide

Advanced directives

Living will

Healthcare proxy

Grief

Normal grief

Complicated grief

Absent grief

Disenfranchised grief

Incomplete grief

Mourning

Placing blame

Finding meaning

Continuing bonds

A person's experience with bereavement is dependent on many factors